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SJLHD - UN#ROUND 'TANK CLOSURE/ALAN N'1' INSPECTION <br /> (SHADE] Al2!E TO BE FILLED IN FOR THE 2ST TANK ONLY) <br /> i <br /> G < OWNER NAME / OWNER PHONE I c`/ j< <br /> E l r <br /> N 4 CONTRACTOR CON. PHONE# <br /> E ; <br /> R < SJLHD PERMIT I EPA I FIRE PERMIT I <br /> L � ` R "m ° <br /> INSPECTOR ,s 1� DATE TANK I 39 <br /> R RINSED (Y160 METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGED (%/N) METHOD AMP ED <br /> A r <br /> P L.E.L. READING AT REMOVAL (MUST BE < 208) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK ZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POO , HOLES <br /> P N na(P a LLQ hvZ �. (T <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) I FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE I <br /> T <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: LQ� X X YDS OF SOIL: �a . <br /> 3- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE I <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> O H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 I OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> HlLABOR RY: C°° SAMPLERS NAME: <br /> — - -CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE•: <br /> 1:11 23 0d'tI''/88) <br />